Search

Healthcare demand is growing in Australia and across the world. In Australia, the healthcare system comprises a mix of private and public organizations, such as hospitals, clinics, and aged care facilities. The Australian healthcare system is quite affordable and accessible because a large proportion of the expenditure, around 68%, is funded by the Australian government. The healthcare expenditure in 2015-16 was AUD 170.4 billion which was 10.0% of the GDP. Soaring healthcare costs and growing demand for services are increasing the pressure on the sustainability of the government-funded healthcare system. To be sustainable, we need to be more efficient in delivering healthcare services. We can schedule the care delivery process optimally and subsequently improve the efficiency of the system if demand for services is well known. However, there is a randomness in demand for services, and it is a cause of inefficiency in the healthcare delivery process. Soaring healthcare costs and the growing demand for services require us to use healthcare resources more efficiently. Randomness in resource requirements makes the care delivery process less efficient. Our aim is to reduce the uncertainty in patients’ resource requirements, and we achieve that objective by classifying patients into similar resource user groups. The conventional random forest., k-nearest neighbourhood (KNN) methods were resulted in poor classification, prediction performance. In this work, we develop a two-stage classification model to classify patients into lower variability resource user groups by using electronic patient record. There are various statistical tools for classifying patients into lower variability resource user groups. However, classification and regression tree (CART) analysis is a more suitable method for analyzing healthcare data because it has some distinct features. For example, it can handle the interaction between predictor variables naturally, it is nonparametric in nature, and it is relatively insensitive to the curse of dimensionality. [ABSTRACT FROM AUTHOR]

Eragrostis curvula is an agronomically and ecologically undesirable perennial tussock grass dispersed across Australia. The objective of this study is to investigate relationships of ecologically relevant abiotic variables with the presence of E. curvula at a landscape scale in the Snowy Monaro region, Australia. Through vegetation surveys across 21 privately owned properties and freely available ancillary data on E. curvula presence, we used seven predictor variables, including Sentinel 2 NDVI reflectance, topography, distance from roads and watercourses and climate, to predict the presence or absence of E. curvula across its invaded range using a random forest (RF) algorithm. Assessment of performance metrics resulted in a pseudo-R squared of 0.96, a kappa of 0.97 and an R squared for out-of-bag samples of 0.67. Temperature had the largest influence on the model's performance, followed by linear features such as highways and rivers. Highways' high importance in the model may indicate that the presence or absence of E. curvula is related to the density of human transit, thus as a vector of E. curvula propagule dispersal. Further, humans' tendency to reside adjacent to rivers may indicate that E. curvula's presence or absence is related to human density and E. curvula's potential to spread via water courses. [ABSTRACT FROM AUTHOR]

The characterisation of fuel distribution across heterogeneous landscapes is important for wildfire mitigation, validating fuel models, and evaluating fuel treatment outcomes. However, efficient fuel mapping at a landscape scale is challenging. Fuel hazard metrics were obtained using Terrestrial Laser Scanning (TLS) and the current operational approach (visual fuel assessment) for seven sites across south-eastern Australia. These point-based metrics were then up-scaled to a continuous fuel map, an area relevant to fire management using random forest modelling, with predictor variables derived from Airborne Laser Scanning (ALS), Sentinel 2A images, and climate and soil data. The model trained and validated with TLS observations (R 2 = 0.51 for near-surface fuel cover and 0.31 for elevated fuel cover) was found to have higher predictive power than the model trained with visual fuel assessments (R 2 = −0.1 for the cover of both fuel layers). Models for height derived from TLS observations exhibited low-to-moderate performance for the near-surface (R 2 = 0.23) and canopy layers (R 2 = 0.25). The results from this study provide practical guidance for the selection of training data sources and can be utilised by fire managers to accurately generate fuel maps across an area relevant to operational fire management decisions. [ABSTRACT FROM AUTHOR]

Preventing unplanned hospitalisations, including readmissions and re-presentations to the emergency department, is an important strategy for addressing the growing demand for hospital care. Significant successes have been reported from interventions put in place by hospitals to reduce their incidence. However, there is limited use of data-driven algorithms in hospital services to identify patients for enrolment into these intervention programs. Here we present the results of a study aiming to develop algorithms deployable at scale as part of a state government's initiative to address rehospitalizations and which fills several gaps identified in the state-of-the-art literature. To the best of our knowledge, our study involves the largest-ever sample size for developing risk models. Logistic regression, random forests and gradient boosted techniques were explored as model candidates and validated retrospectively on five years of data from 27 hospitals in Queensland, Australia. The models used a range of predictor variables sourced from state-wide Emergency Department(ED), inpatient, hospital-dispensed medications and hospital-requested pathology databases. The investigation leads to several findings: (i) the advantage of looking at a longer patient data history, (ii) ED and inpatient datasets alone can provide useful information for predicting hospitalisation risk and the addition of medications and pathology test results leads to trivial performance improvements, (iii) predicting readmissions to the hospital was slightly easier than predicting re-presentations to ED after an inpatient stay, which was slightly easier again than predicting re-presentations to ED after an EDstay, (iv) a gradient boosted approach (XGBoost) was systematically the most powerful modelling approach across various tests. [ABSTRACT FROM AUTHOR]

Studies using remote sensing data for fire danger prediction have primarily relied on fire ignitions data to develop fire danger indices (FDIs). However, these data may only represent conditions suitable for ignition but may not represent fire danger conditions causing escalating fire size. The fire-related response variable's scalability is a key factor that forms a basis for an FDI to include a broader range of fire danger conditions. Remote sensing derived fire size is a scalable fire characteristic encapsulating all possible fire sizes that previously occurred in the landscape, including extreme fire events. Consequently, we propose a new FDI that uses remote sensing derived fire size as a response variable. We computed fire sizes from the Moderate Resolution Imaging Spectroradiometer (MODIS) satellite instrument burned area. We applied random forest (RF) and logistic regression (LR) to develop the FDI for Australia. RF models performed better than LR, and the higher predicted probabilities demonstrated higher chances for ignited fires to be escalated to larger fire sizes at a regional scale across Australia. However, the predicted probabilities cannot be related to the specific range of fire sizes due to data limitations. Further research with higher temporal and spatial resolution data of both the response and predictor variables can help establish a better relationship between a specific range of fire sizes and the predicted probabilities. [ABSTRACT FROM AUTHOR]

A basalt lava plain covers much of central and western Victoria in Australia. Many of the younger flows (<1 Ma) have hummocky surfaces with abundant tumuli and lava rises, known locally as stony rises due to the protruding basalt boulders. Stony rises are noteworthy geologically but have ecological importance and are culturally significant to Aboriginal Australians. Ecologically, stony rises host many native plant species. Culturally, stony rises provide evidence of Aboriginal land use and occupation through the presence of artefact deposits. Currently, mapping of stony rises is carried out by conducting field surveys on a study-by-study basis. This could be performed more rapidly using remote sensing datasets such as LiDAR, satellite and aerial imagery, and geophysical data. This research mapped stony rises in an area that is experiencing rapid urban development using a combination of remotely sensed datasets that characterise the morphology of stony rises through a Machine Learning approach that utilises Object Based Image Analysis (OBIA) segmentation and Random Forests (RF) classification techniques. The research successfully identified stony rises in the landscape to an accuracy of 89.97 %, with 314 potential new stony rise sites identified. The research identified the most important predictor variables were slope, local elevation, the concentrations of thorium and uranium (obtained from airborne radiometric data), aeromagnetic data (total magnetic intensity), the Normalised Difference Water Index (NDWI), and the Clay Mineral Ratio. The results from this study lay a foundation for standardising the definition of a stony rise within Australia. Furthermore, by utilising various predictor variables, this study highlights the success of a multi-faceted approach into detecting a specific landform at a landscape level. • Stony rises detected to an accuracy of 89.97 % using our novel method. • 314 potential new stony rises were detected using our novel method. • Using multifaceted predictor variables for landform classification and detection [ABSTRACT FROM AUTHOR]